Loading...
31B-044 (11) BP-2023-1381 21 SUMMER ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-044-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-1381 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: WALSH WALSH ROBERT E JR &MARY ELLEN Lot Size (sq.ft.) Zoning: URC Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 10/05/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/W E ATH ERI ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 4 • )2 - TAIT Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 ,rJUu...T I qlX� Please email Permit to WXPermitting@homeworksenergy.com Dep o: ar-.4,4.-..,... City of Northampton ��yy# Buildin De j 212 ain r El • a INSULATION lc." Rom 00 .INortha ton M/ R}060phone 413-587-h 2401 Fax 4`13-587 2 i rlt.,7 L. OIVL. Y n. APPLICATION FOR INSULATIO cm-n,Fll REII� l�14H" A\MlL 'D LLING ONLY SECTION 1 -SITE INFORMATION INS IJ LA-T`ION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 21 Summer Street Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Mary Ellen Walsh 21 Summer Street Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)537-3216 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) (--N y cr � /� Current Mailing Address. 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1 ,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 41 6 4. Mechanical (HVAC) 1�f'(/�, 5. Fire Protection 6. Total = (1 +2+3+4+ 5) 1,000 Check Number 00 7 This Section For Official Use Only Building Permit Number: ✓ 013 -- 13 �J Date Issued: ya7 Signature: M- li-7-643 Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable D Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Addre Expiration Date (/b 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable D HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2025 Address Expiration Date j;rlaV Cj Telephone�81-205-4484 f SECTION 5-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes n No D Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 810324 Adam Glenn , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Adam Glenn Print Name j;"(1(J- 9/27/2023 Signature of Owner/Agent Date Mary Ellen Walsh as Owner of the subject property hereby authorize HomeWorks Energy to act on my behalf, in all matters relative to work authorized by this building permit application. See Attached 9/27/2023 Signature of Owner Date "AM_r City of Northampton ,��0,� i _ o' S,s _.t''` ,'' Massachusetts ';. c i 4 . DEPARTMENT OF BUILDING INSPECTIONS r , � W 212 Main Street • Municipal Building -i Northampton, MA 01060 ssN 3r>>'‘� AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost: 1 ,000 Address ofwork:21 Summer Street Northampton MA 01060 Date of Permit Application: 9/27/2023 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: 1 hereby apply for a building permit as the agent of the owner: 9/27/2023 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton CZir: s "" s • : Massachusetts �°� •!<< t : DEPARTMENT OF BUILDING INSPECTIONS y[ rIOW i 212 Main Street 'Municipal Building Jos Northampton, MA 01060 S'! Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 21 Summer Street Northampton MA 01060 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) ritaA , :.30:a-d• _9/27/2023 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. � � '°\ City of Northampton s Y e. Massachusetts ,, ", DEPARTMENT OF BUILDING INSPECTIONS f. i- dsv , 212 Main Street • Municipal Buildingtis ..:A % Northampton, MA 01060 S''W rD\ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 21 Summer Street Northampton MA 01060 Contractor Name HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 m Property Owner Name: Mary Ellen Walsh Address: 21 Summer Street Northampton MA 01060 City, State: Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature Calk\ c.. 0, 'ad Date 9/27/2023 L.X. The Commonwealth of Massachusetts Department of Industrial Accidents ` —.7..Am—' Office of Investigations `'•l'IIMI• Lafayette City Center ": 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks Energy Address: 235 Essex Street City/State/Zip:Whitman,MA 02382 Phone #: 781-205-4484 Are you an employer? Check the appropriate box: Type of project(required): I.Q I am a employer with 500+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ i am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.♦ 9. El Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.0 Other comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Federated Mutual Insurance Company Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024 Job Site Address: 21 Summer Street Northampton MA 01060 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undd r the pains and pe es of perjuly that the information provided above is true and correct. Signature: l'"-(' Date: 9/27/2023 Phone#: 781-205-4484 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority(check one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: �1 AFRO® CERTIFICATE OF LIABILITY INSURANCE DATE12/301D/VYYY) 12fd02022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER PHONE HOME OFFICE:P.O.BOX 328 (A/C,No,Eel):888-333-4949 FAX No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM INSURERISI AFFORDING COVERAGE NAIC S INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899-0 INSURER B: HOMEWORKS ENERGY,INC. INSURER C: 101 STATION LNDG MEDFORD,MA 02155-5134 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR,yrio IMMIDD/YYYY) (MMIDD,YYYYI X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 5100,000 PREMISES!Ea occurrence)_ MED EXP(My one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000 �POUCY jee LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO IEe accident) BODILY INJURY(Per person) — SC AOWNED AUTOS ONLY AUTESULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAB CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000 ^—DED RETENTION WORKERS COMPENSATION X PER STATUTE OTH- AND EMPLOYERS'LIABILITY y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S500,000 A OFFICER/MEMBER EXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S500 000 If yes,describe under E.L DISEASE-POLICY LIMIT S500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached,t more space is required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 1 0 198B-2015 ACORD CORPORATION.AN rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Lice sure Construction Supervisor Specialty Restricted to. Board of Building Regulations. and Standards CSSL4C -i nsutation Contactor Constructs upet441.5kr Specialty rt CSSL-106148 * EStpires: 07/30/2024 d. ADAM GLEN�V r ?..e 19 CHARGE 00 - -"" WAREHAM MA i i ma `s -, 4 Failure topossess a current edition of tie Massachusetts i ,� State Ruiid rj Code is cause for revocation of this I,cense. For information about this license Call{617) 727-3200or visit www rim ss.govidp Commissioner ter f. b r►a:.=at- THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 'i `- , to — 7, " rq - . • Type: Corporation = I Registration: 181138 HOME WORKS ENERGY, INC. Expiration: 03/02/2025 101 STATION LANDING STE 110 -r--r --_ MEDFORD, MA 02155 iiik 7 ... ♦ L"� .. ai.s . Ili Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 181138 as 03/02/2025 Boston, MA 02118 HOME WORKS ENERGY, INC: - ADAM GLENN Calla'A _(101 STATION LANDING STE 110 7`/:� .,„..,„,a ,,4. -�': MEDFORD, MA 02155 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Daniel Mcintire Company: HomeWorks Energy Email: daniel.mcintire@homeworksenergy.coi Address: 101 Station Landing Cell: 413.636.5552 Medford, Ma 02155 Phone: 781.305.3319 Customer: Mary Ellen Walsh Address: 21 Summer Street Email: mewalsh21@gmail.com Northampton, MA, 01060 Site ID: 810324 Phone: 4135373216 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to have a final inspection of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: mewalsh21@gmail.com Customer Signature: Date: 9/20/2023 Mary Ellen Walsh For Condo Owners: If you have property oversight by a condo associationt, please have the association's authorized person(s) complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management companyt or management company have reveiwed the plans and specifications for improvements to the address specified above We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name t Other unit owners may sign when there is no association. t A * ) ,, ti to r/ ,c. 74e; `, PLAN VIEW 2 Name: ji Site ID: r"s Finished Sq. Ft: 1 3 " 3 g Phone: Year of House: Electric Acct #: 17) Address: # of Floors: Gas Acct #: unit#: # Occupants: Housing Type? eo for 1 DUCTWORK INSPECTION Ducts insulated?O Duct Linear Ft. ► itb Duct Square Ft. 0`t , C5Duct Air Sealing Hours t,« Duct Insulation �,�7 Duct Insulation Removal 140 Ir ' '4 i f: ?;; z BASEMENT INSPECTIONr t Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG , Crawl Ceiling 5) Ck ?Oki (00 Crawl Rim Joist " $ t =#a y '14'd Bsmt RJ w/Sill It/S Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door - /ram; 'i ` Y/N Blower Door? WALLS &GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x cc 0 5.5. ( .t f k « -�1 ;;, ?.� ! '^: Insulatioryl`2emoval Sqft. livtorive..X' Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: 1<&T Y/N Moisture Y/N'Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq. ft Y/N CO Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y/N 5tructl Concerns Y/N :Other: Notes for Lead Vendor/Work Not Contracted: J 4/5 5(11)-I- 4 C-IR itieipttil-', fc 1 t t ri c,s KW WALL AND KW FLOOR Blind Spec? El OR •--- ► KW SLOPE AND GABLE END Blind Spec? 0 Y' Why? FRAMING EXISTING SPEC'ING SQ..FT. FRAMING EXISTING SPEC'ING SQ.FT. ALL X X SLOPE X X FLOOR X x GABLE X X CC o •CCESS x \ TRANS X X t` BANS X X ATTIC ATTIC SLOPE X X y V. 3 SLOPE x x EXISTING VENTING? t" EXISTING VENTING? EXISTING PIPES? Y/N rn KWVen;tnr Vent BF BF Hose Damming Sheathing Access Temp Access AY:4'en;tng L.u,;BF Temp Access r S E KNEEWALL MANDATORY No 4itl o ?ice Mc. U d.--` 0 • 3 a cc 0 3 Y ca u E Insulated Vail X X Reed light o Ins.Hose BF BFVJ Vent BF Chim.n Damming 22"Roof V t At Handler AH Temp Access T1 PullDorrn Ea E i Wal Hatch -/ Door / 3"Roof Vent RV ® BAS X X ATTIC 1 Blind Spec? ❑ x x 1t(,Vol:.. ATTIC 2 Blind Spec? 0 x(15.4(2,te9 2 Existing Spec'ing Sq ft ." _ Existing Spec'ing Sq ft `13.6t 6r l 0 Unfloored Unfloored Multipliers inn- Floored Trusses Cross Batting Fl Mixed lnsulaticn DuctWG,FI Cath Slope Cath Slope >600red LCase None' ,• aWalls Walls Air Sediing hours Access Access e Venting Propavents Vent BF BF Hose Damming Venhng Propavents Vent BF BF Hose Damming iv to 'v c W H F Box, w a m :2 Temp Access:. ef tr. inSheathing Acces _ sc. : = (Exist.NFAvtnrnel= Needed Se, Ft/.c7= R.L Covers: !Exist.NFA Vennnet= (Needed Existing Venting? NFA Venhne) NF:,vennn Roof Type: ! Existing Venting? et yp �' / /! (t l-,i f7 t HomeWorks Energy (' pry (3 Home Performance Contractor I 1 101 Station Landing,Medford, MA 02155 9 CONTRACT - AUDIT HomeWorks 781-305-3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Robert Walsh (413) 537-3216 09/20/2023 810324 60001 SERVICE STREET BILLING STREET PROPOSED BY: 21 Summer Street 21 Summer St HomeWorks Energy SERVICE CITY,STATE.ZIP RI IJNG CITY,STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 2 $213.18 $213.18 Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas (windows are not generally addressed.) EXTERIOR DOOR WEATHER STRIPPING 2 $72.64 $72.64 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 2 $59.32 $59.32 Provide labor and materials to install a doorsweep to restrict air leakage. 6 MIL POLY VAPOR BARRIER 224 $264.32 $264.32 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. HomeWorks Energy (IC Home Performance Contractor g f 1 f l 101 Station Landing,Medford,MA 02155 1-I eworks 781-305-3319 CONTRACT - AUDIT Energy,Inc CUSTOMER PHONE DATE CUENTA WORK ORDER Robert Walsh (413) 537-3216 09/20/2023 810324 60001 SERVICE STREET BILLING STREET PROPOSED BY: 21 Summer Street 21 Summer St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALL 2"THERMAL BARRIER POLYISO OPEN BASEMENT 60 $330.00 $247.50 $82.50 Provide labor and materials to install 2"rigid insulation board to the open basement wall up to the sill and against the band joist. Total: $939.46 Program Incentive: $856.96 Customer Total: $82.50 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eighty-Two & 50/100 Dollars $82.50 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.